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Independent investigation into the death of B: September 2014

East of England Published 01 Sep 2014 Trust Norfolk and Suffolk NHS Foundation Trust

This is the report of the independent investigation into the care and treatment of B who was killed by her husband A in 2011. A had previously had contact with mental health services in Suffolk. The associated action plan has been published by Norfolk and Suffolk NHS Foundation Trust.

Report PDF Action Plan NHS England Source
Jump to 5 recommendations

Acceptance status

Per recommendation
Action Plan Published
5
Total recommendations
5
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

5 total

Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan

1 The Trust Action Plan Published
Recommendation
The Trust should further consider the opportunities and limitations of co-location across the patch for health and social care staff as a means to facilitate communication and information-sharing. Whilst co-location is not always possible or practical, the impact upon communication … Read more
2 The Trust Action Plan Published
Recommendation
The investigation team recommends that attention is given as part of staff training and reflective practice to the association between mental ill health and caring for someone with significant mental and/or physical problems. New guidance on the value of an … Read more
3 The Trust Action Plan Published
Recommendation
It will be important for the Trust to include as a routine part of staff training and/or reflective practice a focus on the association between domestic violence and risk of homicide. This should help to ensure that policy on the … Read more
4 The Trust, and National and local commissioners of investigations Action Plan Published
Recommendation
The investigation team recommends that awareness is raised about the importance of family testimony. At local level for clinicians, this could be achieved via training for staff which includes representation from users, carers and family members as appropriate and/or a … Read more
5 The Trust Action Plan Published
Recommendation
The investigation team believes that support for staff could be improved if, as a matter of course, a senior manager attended in person when a serious incident (SI) occurs. In addition, there may be value in developing a staff support … Read more